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RRC150162-04 FRANCISCAN HEALTH INDIANAPOLIS (Active)
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Main Details
Name
FRANCISCAN HEALTH INDIANAPOLIS
Subdivision Name
FRANCISCAN HEALTH INDIANAPOLIS CARD - Franciscan Health Indiana Heart Physicians, a department of Franciscan Health Indianapolis
Type
Rural Referral Center
Rural
Yes
340B ID
RRC150162-04
Medicare Provider Number
150162
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/11/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/12/2024
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Franciscan Alliance
Amy Herron, Regional CFO
(317) 528-8470
Primary Contact
Franciscan Health
Laura Shondell, Administrative Director Medication Systems and Operations
(765) 423-6900
Addresses
Street Address
5330 E STOP 11 RD
INDIANAPOLIS, IN 46237-6345
Billing Address
Franciscan Health Indianapolis
8111 S. Emerson Avenue
Indianapolis, IN 46237
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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